Affiliations: [a] Department of Rehabilitation Medicine, AJOU University Hospital, Suwon, Korea | [b] Department of Physical Therapy, College of Life and Health Science, Hoseo University, Asan, Korea | [c] Department of Physical Therapy, Graduate School, Yonsei University, Wonju, Korea | [d] Department of Physical Therapy, College of Health Science, Sangji University, Won-ju, Korea
Correspondence:
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Corresponding author: In-Cheol Jeon, Department of Physical Therapy, College of Life and Health Science, Hoseo University, 20, Hoseo-ro 79 beon gil, Baebang eup, Asan-si, Chungcheongnam-do, 34199, Korea. Tel.: +82 41 540 9976 or +82 10 9250 1838; Fax: +82 41 540 9975; E-mail: jeon6984@hoseo.edu.
Abstract: BACKGROUND: Prone hip extension (PHE) has been investigated to strengthen the hip joint and back extensor muscles. However, it has not been compared with various PHE exercises in individuals with iliopsoas shortness. OBJECTIVE: This study compared pelvic compensation and hip and back extensor muscle activities in individuals with iliopsoas shortness during prone hip extension (PHE) using the abdominal drawing-in maneuver alone (PHEA) and after iliopsoas stretching (PHEAS). METHODS: Twenty-five individuals with iliopsoas shortness were included in the study. Electromyography was used to investigate bilateral erector spinae (ES) and ipsilateral gluteus maximus (GM), biceps femoris (BF), and semitendinosus (ST) muscles during PHE, PHEA, and PHEAS. Pelvic anterior tilting and rotation angles were measured during each PHE exercise via electromagnetic motion tracking. A modified Thomas test was used to examine the hip extension angle before and after iliopsoas stretching. One-way repeated-measures analysis of variance was used to investigate differences in pelvic anterior tilting and rotation angle and in hip and back extensor muscle activities among PHE, PHEA, and PHEAS. The level of statistical significance was set at α= 0.01. RESULTS: GM muscle activity was significantly greater with PHEAS, compared to PHE and PHEA (p< 0.01). Bilateral ES and ipsilateral BF and ST muscle activities were significantly reduced with PHEAS, compared to PHE and PHEA (p< 0.01). Anterior pelvic tilting and rotation angles were significantly reduced with PHEAS, compared to PHE and PHEA (p< 0.01). CONCLUSIONS: PHEAS is recommended to selectively strengthen GM muscles with minimal BF and ST muscle activities and pelvic compensation in individuals with iliopsoas shortness. The abdominal drawing-in maneuver (ADIM) after iliopsoas stretching is more efficient than ADIM alone during PHE, especially in individuals with iliopsoas shortness.
Keywords: Gluteus maximus, iliopsoas stretching, prone hip extension
